CMS Price Transparency Data
Review of medical records for care
Facility: Memorial Hospital and Health Care Center
Billing Code: 90889 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90889
- Insurance Median: $89
- Cash Discount Price: $52
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Review of medical records for care at Memorial Hospital and Health Care Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.
Cash / Self-Pay
$52
Average discount available for prompt cash payment at this facility.
Insurance Median
$89
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
N/A
Standard federal government reimbursement rate for this code.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $68 | N/A |
| Ambetter / Centene | $89 | N/A |
| Chamber Care | $89 | N/A |